East Hull Family Practice

Updated 19 November 2015

Morrill Street Group Practice’s practice is located in a residential area of Hull and serves the surrounding areas of East Hull and Holderness Road. There are 13,823 patients on the practice list and the majority of patients are of white British background. There are six GP partners four of which are male and two are female. There are three practice nurses and three healthcare assistants. They are supported by a business manager, reception and administrative staff. The practice is supported by cleaning duties from an external provider.

The practice is in a comparatively deprived area and has a higher than average number of patients with health related problems in daily life and patients in receipt of Disability Allowance.

The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures, and treatment of disease, disorder and injury.

The main practice is open for appointments on extended hours 8.00am to 6.00pm Monday to Friday. The Victoria Dock branch surgery is open Monday, Tuesday, Thursday and Friday 8.00am till 6.pm and closed for lunch between 12.30pm and 1.30pm. On Wednesdays the branch surgery is open 8.00am till 12pm. Out of Hours services are provided via the 111 service.

The practice has a Personal Medical Service (PMS) contract and also offers enhanced services for example; childhood vaccination and immunisation scheme, minor surgery and timely diagnosis and support for people with dementia. The practice currently has an active patient participation group (PPG).

Updated 19 November 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Morrill Street Group Practice on 8 September 2015.

Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Two week pre-bookable and urgent appointments were available the same day.
• The practice had good facilities including disabled access to first floor consulting rooms.
• Information about services and how to complain was available in the practice leaflet and on their website. The practice sought patient views about improvements that could be made to the service.
• The practice proactively sought to educate their patients to manage their medical conditions and improve their lifestyles by having additional in house services available. These included smoking cessation and long term conditions clinics.
• There were systems in place to reduce risks to patient safety for example, infection control procedures.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles.
• The practice made good use of audits and had shared information from their audits with staff to promote better patient outcomes.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

• Ensure all staff appraisals are completed in line with the practice policy arrangements.
• Ensure infection control training is completed for all staff in the practice in particular to basic hand washing techniques.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 November 2015

The practice is rated good for the care of people with long-term conditions. These patients had a regular review with either the GP and/or the nurse to check their health and medication. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Patients were encouraged to manage their conditions and were referred to health education and other in-house services when necessary, for example a dietician. Longer appointments and home visits were available when needed. Patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 19 November 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were good for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 19 November 2015

The practice is rated good for the care of older people. The practice offered proactive, personalised care to meet the needs of the older people in its population, if necessary as well as rapid access appointments for those with enhanced needs. The practice offered home visits and usual doctor appointments to improve continuity of care. The practice had regular contact with community nurses and participated in meetings with other healthcare professionals to discuss any concerns.

Updated 19 November 2015

The practice is rated good for the care of working-age people (including those recently retired and students). The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. For example, the practice opened evenings until 6.00pm for those people who could not attend during normal opening hours. The practice could also refer patients to their branch surgery at peak times. A dedicated on-call GP was available for emergency telephone advice and dedicated receptionist time for obtaining test results. The practice also offered online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 19 November 2015

The practice is rated good for the care of people experiencing poor mental health (including people with dementia). 97% of people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advanced care planning for patients with dementia.

The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Staff had received training on how to care for people with mental health needs and dementia.

Updated 19 November 2015

The practice is rated good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments were available for people with a learning disability. It had carried out annual health checks for people with a learning disability and 100% of these patients had received a follow-up.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff had been trained to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies.